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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
MedicoseAcademics
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14.Infertility And Art2009.3.24
1.
Infertility and Assisted
Reproductive Technologies Tianjin Medical University General Hospital Obstetrics and Gynecology Department
2.
3.
4.
5.
6.
7.
Human gamete oocyte
sperm
8.
oocyte Normal ovulation
Hypothalamus Pulsatile secretion of GnRH pituitary FSH LH positive feedback ovary Development productione of follicles ostrogen LH surge Maturation ovulation Corpus luteum progesterone
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
Male factor
24.
25.
26.
27.
28.
Investigation
29.
Semen analysis
30.
31.
32.
treatment
33.
34.
35.
36.
37.
38.
39.
Ovulatory factor
40.
41.
42.
43.
Basal body temperature(BBT)
44.
45.
46.
Proliferative phase Luteal
phase
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
Cervical factor
61.
62.
63.
64.
65.
66.
67.
Uterine - tubal
factor
68.
69.
70.
71.
72.
HSG Free spill
of dye from the distal ends of the tubes The dye in the peritoneal cavity after 24 h
73.
Bilateral tubal occlusion
Proximal part distal ends of the tubes
74.
75.
76.
77.
Treatment
78.
79.
Peritoneal factor
80.
81.
Endometriosis of the
Ovary Copyright Trehan UTERUS RIGHT OVARY SKIN OF THE PELVIS UTERUS ENDOMETRIOTIC CYST ON OVARY BOWEL LARGE OVARIAN CYST (CHOCOLATE CYST) UTERUS LEFT OVARY RIGHT OVARY ADHESIONS Copyright Trehan Copyright Trehan
82.
83.
84.
Unexplained infertility
85.
86.
87.
88.
89.
90.
cervixs uterus sperm
oocyte Intrauterine Insemination IUI Sperm preparation
91.
In vitro fertilization
–embryo transfer IVF-ET
92.
93.
94.
95.
96.
97.
98.
99.
Oocytes retreival
100.
Oocytes collection
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
Phychological aspect
111.
112.
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